NPI | 1659396406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME95270) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME95270) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2017-01-31 |